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"Praise for the previous edition: Remarkable, richly illustrated textbook ... enriched by numerous demonstrative illustrations ... the quality of all the 2397 illustrations is an iconographic achievement. Practically no criticism can be raised for this most remarkable book, which one expects will have a wide diffusion. -- Clinical Imaging Differential Diagnosis in Ultrasound Imaging, Second Edition, is a complete revision and extension of this best-selling Thieme title, bringing it up to date with the very latest clinical and technological standards. With a specific focus on general abdominal.This book focuses on general abdominal, genitourinary, and thyroid pathologies to guide readers through the process of sonographic differential diagnosis."

"His 2nd edition of the Practical Guide to Emergency Ultrasound addresses your need for a practical, comprehensive, how-to book on ultrasound techniques in the emergency department, including new and expanded applications. Organized in an easy-to-navigate problem-based and symptom-based approach, chapters cover many uses for ultrasound in the ED and proper ultrasound technique. Over 900 images, many in full color, illustrate key concepts and diagnoses, including the use of echocardiography in the ED and newer applications for imaging ocular, musculoskeletal injuries and the use of ultrasound in the management of undifferentiated hypotension and dyspnea. Chapters on newer applications of ultrasound including thoracic, inferior vena cava, musculoskeletal, and ocular imaging; newer and evolving applications for procedural guidance, including nerve blocks; new and highlighted content for Pediatric applications; and chapters on prehospital use, and use in resource-limited settings. Entire section focusing on Ultrasound use in the Resuscitation of Acute Injury or Illness. Over 900 images demonstrate key diagnoses and proper ultrasound technique. Over 175 online video clips that display more realistic three-dimensional views. More than 60 additional online-only images for several chapters."

"Mamografi merupakan pemeriksaan baku emas dan merupakan modalitas satu-satunya untuk skrining payudara perempuan. Namun efektivitas mamografi menurun terutama pada payudara berdensitas padat. Handheld ultrasonography (HHUS) sering diperlukan sebagai pelengkap mamografi dan dapat meningkatkan sensitivitas dan spesifisitas untuk deteksi kanker payudara berdensitas padat. Automated breast ultrasound (ABUS) merupakan modalitas relatif baru dengan beberapa kelebihan dibandingkan dengan HHUS antara lain reproducible, variabilitas yang rendah, waktu akuisisi lebih singkat dan konsisten, serta ukuran transduser yang lebar sehingga mencakup payudara lebih menyeluruh dan dapat melakukan karakterisasi lesi yang ukurannya melebihi lebar transduser HHUS dengan lebih baik. Saat ini penggunaan ABUS belum merata di rumah sakit di Indonesia, dan penelitian mengenai ABUS masih terbatas, sehingga perlu dilakukan penelitian mengenai ABUS dibandingkan dengan modalitas lain secara lebih obyektif. Tujuan : Penelitian ini bertujuan untuk mengetahui kesesuaian temuan, morfologis, dan lokasi lesi di payudara berdasarkan densitas mamografi dan HHUS dengan densitas mamografi dan ABUS. Metode: Dilakukan pemeriksaan payudara menggunakan mamografi, HHUS GE tipe Logic S8 dengan transduser linear 7-12 MHz, dan ABUS GE Invenia dengan transduser konkaf linear 6-12 MHz. Seluruh pemeriksaan HHUS dan ABUS dilakukan sendiri oleh peneliti di Departemen Radiologi RSCM, dan dikonfirmasi oleh Dokter Spesialis Radiologi konsultan payudara bersertifikasi ABUS untuk menentukan ada atau tidaknya lesi, morfologis, dan lokasi lesi. Kesesuaian hasil pemeriksaan mamografi-ABUS dan mamografi HHUS dianalisis menggunakan uji Mc Nemar. Hasil: Terdapat 30 subyek penelitian dan diperoleh 48 sampel payudara, dengan rentang usia 36-66 tahun (rerata ± SD 51,4 ± 8,5 tahun). Dalam menentukan ada tidaknya lesi, pemeriksaan mamografi- HHUS dan mamografi-ABUS memiliki kesesuaian dengan level sedang (moderate agreement), nilai Kappa 0,43 dan 0,49 (p 0,002 dan p 0,001); dalam menentukan morfologis lesi memiliki kesesuaian dengan level sedang (moderate agreement) dengan nilai Kappa 0,51 dan 0,43 (p 0,000 dan 0,000); serta dalam menentukan lokasi lesi memiliki kesesuaian dengan level fair agreement dengan nilai Kappa 0,37 dan 0,36 (p 0,000 dan 0,000). Simpulan: Kombinasi mamografi-HHUS memiliki kesesuaian dengan level relatif setara dalam menentukan ada tidaknya lesi dan lokasi lesi, namun sedikit lebih tinggi dalam menilai morfologis lesi dibandingkan dengan kombinasi mamografi- ABUS.

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Background: Mammography is the gold standard and well known to be a powerful screening tool in the detection of breast cancer. However its sensitivity is reduced in women with dense breasts. Additionally, women with dense breasts have an increased risk of developing breast cancer while mammography has a lower sensitivity. Handheld ultrasonography (HHUS) is often needed as a adjunction to mammography, can increase sensitivity and specificity for detection of cancer in dense breast breasts. Automated breast ultrasound (ABUS) is a relative new modality with several advantages compared to HHUS including reproducible, low variability, shorter and consistent acquisition time, and a wide transducer size that covers the breast more thoroughly and can characterize lesions whose size exceeds the width of the transducer HHUS better. At present the use of ABUS is not evenly distributed in hospitals in Indonesia, and research on ABUS is still limited, so it is necessary to conduct research on ABUS compared to other modalities more objectively. Objective : This study aims to determine the alternative selection of HHUS and ABUS examination to detect abnormalities in the breast based on mammographic density. Method: Breast examination using mammography, HHUS GE Logic S8 with 7-12 MHz linear transducer, and GE Invenia ABUS with 6-12 MHz linear concave transducer. All HHUS and ABUS examinations are carried out solely by researchers in the Radiology Department of the RSCM, and are confirmed by an ABUS certified breast consultant radiologist to determine the presence, morphology, and location of the lesion. The suitability of ABUS mammography and HHUS mammography results were analyzed using the Mc Nemar test. Result: There were 30 subjects and 48 breast samples were obtained, with an age range of 36-66 years (mean ± SD 51.4 ± 8.5 years). In determining the presence or absence of lesions, examination of mammography- HHUS and mammography-ABUS is in accordance with moderate agreement and Kappa values 0.43 and 0.49 (p 0.002 and p 0.001); in determining the morphology of the lesion is in accordance with moderate agreement and Kappa value 0.51 and 0.43 (p 0,000 and 0,000); and in determining the location of the lesion is in accordance with fair agreement and Kappa values of 0.37 and 0.36 (p 0,000 and 0,000). Conclusion : The mammographic-HHUS combination is compatible with a relatively equal level in determining the presence or absence of the lesion and location of the lesion, but is slightly higher in assessing the morphology of the lesion compared with the mammographic- ABUS combination. "

"Latar Belakang : Penggunaan terapi hormon memiliki efek samping pada payudara yang dapat terdeteksi pada ultrasonografi (USG) berupa peningkatan ketebalan jaringan fibroglandular yang berhubungan dengan peningkatan risiko kanker payudara. Hingga saat ini masih terdapat kontroversi mengenai efek samping terapi hormon tibolone terhadap payudara. Tujuan Penelitian : Mengetahui perubahan ketebalan jaringan fibroglandular payudara setelah terapi hormon tibolone. Metode : Penelitian ini berlangsung dari bulan Desember 2013 hingga Agustus 2015 di Departemen Radiologi RSUPN dr. Cipto Mangunkusumo dengan desain penelitian berupa studi kuasi eksperimental dengan amandemen berupa pengambilan data USG payudara sebelum dan sesudah terapi hormone tibolon. Pengukuran dengan USG payudara dilakukan di empat regio (superior, inferior, medial dan lateral) yang kemudian dilakukan analisis terhadap rerata perubahan ketebalan jaringan fibroglandular sebelum dan sesudah terapi hormon tibolone. Hasil : Dari 40 subjek yang dianalisis, terdapat 36 subjek yang mengalami peningkatan ketebalan jaringan fibroglandular. Terdapat perbedaan bermakna (p<0,001) pada ketebalan jaringan fibroglandular payudara sebelum dan sesudah 3 bulan pemberian tibolon. Indeks massa tubuh (p = 0,020) dan riwayat kontrasepsi hormonal (p=0,015) merupakan faktor yang memengaruhi peningkatan ketebalan jaringan fibroglandular payudara sesudah terapi hormon tibolon. Sedangkan paritas, usia melahirkan anak pertama, riwayat menyusui, usia menarke, usia menopause dan riwayat kontrasepsi hormonal tidak berhubungan. Kesimpulan : Terdapat peningkatan ketebalan jaringan fibroglandular berdasarkan pemeriksaan USG payudara perempuan menopause yang mendapat terapi hormon tibolone.

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Background : The use of hormone therapy has side effects in the breast which detected on ultrasound by increasing the thickness of breast fibroglandular tissue associated with increased risk of breast cancer. Until now there is still controversy regarding the side effects of tibolone on the breast tissue.

Purpose : This study aims to determine the thickness changes of the fibroglandular tissue due to tibolone hormone therapy.

Methods : This research was done between December 2013 untill August 2015 in Department of Radiology, dr. Cipto Mangunkusumo Hospital. Design of this research is a quasi-experimental study with the amendment in the form of data retrieval breast ultrasound before and after tibolon hormone therapy. Measurements with breast ultrasound was done in four regions (superior, inferior, medial and lateral) then the average change in fibroglandular thickness was analyzed.

Results : Of the 40 subjects were analyzed, there were 36 subjects showed significant increase (p <0.001) of breast fibroglandular tissue thickness after 3 months of tibolone hormone therapy. The body mass index (p = 0.02) and a history of hormonal contraception (p = 0,01) were factors that influence the increase of fibroglandular thickness post tibolone hormone therapy. While parity, age of first child, history of breastfeeding, age of menarche, age of menopause and history of hormonal contraception were not related.

Conclusions : There is an increase of fibroglandular tissue thickness by breast ultrasound examination of menopausal woman who received tibolone hormone theraphy."

"The book is divided into three parts: 1. Anatomy, which covers relevant sonographic anatomy in the head and neck (with complementary images from CT, MRI); 2. Diagnoses, the core content of the book with detailed sonographic description of common Head &​ Neck lesions, key clinical information and practical scanning tips towards identifying the wide spectrum of diseases in this region; 3. Differential Diagnoses, which provides differential diagnoses for common sonographic signs/​appearances. Although the book is on ultrasound, readers will find images from other imaging modalities so as to highlight the importance of multimodality imaging in modern clinical practice. This book is a compilation of Head and Neck sections of three previous books published by AMIRSYS, namely Diagnostic Imaging: Ultrasound; Diagnostic and Surgical Imaging Anatomy: Ultrasound and Expertddx: Ultrasound. The text &​ images (over 400) in the Anatomy section of the book remain relatively unchanged from the earlier book. In addition to the twenty diagnoses in the Diagnostic section of the earlier book, twenty one new diagnoses/​chapters have been added. This entire section of the book now contains over a thousand images (almost all of these are new images with comprehensive annotation), in particular, illustrative images of shear wave elastography &​ strain imaging have been included. The key facts box feature of the book remains in this section &​ is ideal for a quick review for readers with short attention spans. The Expertddx section of this book has over two hundred &​ fifty images (half of which are new) &​ includes key references"